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首页> 外文期刊>Qualitative health research >Too Long to Wait: Obstetric Fistula and the Sociopolitical Dynamics of the Fourth Delay in Soroti, Uganda
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Too Long to Wait: Obstetric Fistula and the Sociopolitical Dynamics of the Fourth Delay in Soroti, Uganda

机译：等待太久了：产科瘘和乌干达索罗蒂第四次延迟的社会政治动态

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摘要

Uganda has one of the highest obstetric fistula rates in the world with approximately 200,000 women currently suffering. Surgical closure successfully treats fistula in the majority of cases, yet there is a severe shortage of facilities and trained surgeons in low-resource countries. The purpose of this study was to examine Ugandan women’s experiences of obstetric fistula with the aim of adding narrative depth to the clinical literature on this devastating birth injury. Data were collected through semistructured interviews, focus groups, and participant observation. Resulting narratives were consensus coded, and key themes were member-checked using reciprocal ethnography. Women who suffered from fistula described barriers in accessing essential obstetric care during labor—barriers that are consistent with the three delays framework developed by Thaddeus and Maine. In this article, we extend this scholarship to discuss a fourth, critical delay experienced by fistula survivors—the delay in the diagnosis and treatment of their birth injury.
机译：乌干达拥有世界上最高的产科瘘率之一，目前有约20万名痛苦。外科闭合在大多数情况下成功地治疗瘘管，但在低资源国家的设施严重短缺和训练有素的外科医生。本研究的目的是审查乌干达妇女的产科瘘经验，目的是在这种破坏性出生伤害上增加临床文学的叙事深度。通过半系统的访谈，焦点小组和参与者观察收集数据。结果叙述是共识编码的，并且主要主题是使用互惠性民族识别的会员检查。患有瘘管的妇女描述了在劳动障碍期间获得基本产科护理的障碍，这与Thaddeus和缅因州开发的三次延迟框架一致。在本文中，我们扩展了奖学金，讨论瘘管幸存者的第四次临界延迟 - 延迟诊断和治疗其出生伤害。

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